Abstract. Dacryops is a closed cyst that develops on the palpebral lobe of the lacrimal gland, manifesting in the region of the external canthus. Its slow and insidious growth causes mechanical and aesthetic problems that do not regress spontaneously. Treatment involves excision of the cyst while sparing the adjacent glandular tissues. In cases associated with hypolacrimation, marsupialization of the cyst is indicated. To obtain a reduction of the cyst to an aesthetically acceptable level in cases of simple dacryops, the authors suggest argon laser therapy, which avoids the risks related to surgery and general anesthesia and eliminates the need for hospitalization. Two patients with simple dacryops were treated with blue-green argon laser under local anesthesia. At the end of follow-up, the cysts had been clinically reduced in volume and were not visible by external examination. In cases of simple dacryops, laser therapy is suitable for the reduction of the cyst. Photocoagulation treatment is not advisable in cases that are complicated by fistulas or where the clinical presentation is atypical. [Ophthalmic Surg Lasers 1997;28:690-692.]
Cataract surgery and IOL implantation did not negatively influence the natural course of uveitis in patients with Fuchs' heterochromic iridocyclitis. Correct surgical timing, selection of cases, and adequate anti-inflammatory therapy may promote similar results in patients with other types of anterior uveitis.
Purpose The authors report the cases of two patients affected with idiopathic choroidal neovascularisation studied with combined fluorescein angiography and indocyanine green (lCG) angiography. In particular the presence of choroidal abnormalities at ICG angiography which could not be detected by fluorescein angiography was studied.Methods Both patients underwent a complete systemic and ocular assessment. A subretinal neovascular membrane, located in the macular zone, is not frequent in patients under 50 years of age. There exists a distinct subset of young patients in whom choroidal neovascularisation (CNV) develops in the absence of any detectable primary ophthalmic or systemic disease which has been recognised to cause submacular neovascular membranes.1-3 When no apparent cause or association can be determined, the subretinal neovascular membrane in patients younger than 50 years of age is classified as idiopathic (ICNV).4-12Few cases of ICNV studied with combined fluorescein angiography and indocyanine green (ICG) angiography have been reportedy,14 We report the cases of two patients with macular subretinal neovascular membranes which were diagnosed as idiopathic at fluorescein angiography and in which ICG angiography demonstrated abnormalities of the choroidal vasculature. Case reports Case 1A healthy 30-year-old woman noted sudden, painless blurring of vision in her right eye. Medical, surgical and ocular history was unremarkable and she was taking no medications. There was no family history of eye disease.On examination 1 week after the onset of symptoms, visual acuity was 20/60 in the right eye and 20/20 in the left eye with a refractive error of 1.75 dioptres of myopia in both eyes. An Amsler grid test was altered in the right eye and normal in the left eye. There was no evidence of an afferent pupillary defect. Results of anterior segment examination were normal in both eyes. Results of dilated fundus examination of the right eye showed a grey submacular lesion surrounded by subretinal blood and an overlying neurosensory retinal detachment; the optic disc and retinal vessels were normal (Fig. la); the overlying vitreous was clear. The left fundus was normal, except for the presence of a pinpoint area of retinal pigment epithelium (RPE) atrophy in the macular region (Fig. Ib). At fluorescein angiography the lesion showed an early net-shaped hyperfluorescence which Eye (1999) 13, 621�28
Spectral-domain optical coherence tomography serial changes in three cases of spontaneous closure of idiopathic macular hole at stages II, III, and IV are described. Initial and serial spectral-domain optical coherence tomography images document the progressive closure. Macular holes apparently resolved spontaneously through two different mechanisms: posterior hyaloid detachment in case 1 and a contraction of epiretinal macular membrane in cases 2 and 3. The spontaneous closure of idiopathic full-thickness macular holes may occur in any stage of idiopathic macular hole; the small size of the hole is a common feature in all cases of spontaneous closure reported.
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